MS. CAROLYN BETH DODGE


Address: N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852
Phone: 2623767676

MS. CAROLYN BETH DODGE (NPI# 1801037981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801037981
Entity Type Individual
Full Name MS. CAROLYN BETH DODGE
Credential OTR
Practice Address N27w5707 Lincoln Blvd
Cedarburg
WI 53012-2852
Practice Telephone 2623767676
Practice Fax Number 2623765208
Mailing Telephone 2623767676
Mailing Fax Number 2623765208
Enumeration Date 2009-03-18
Last Update Date 2009-03-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 3714-026 WI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI APPLICATIO PENDING 05

Other Providers CAROLYN DODGE

NPI Name Taxonomy Address Enumeration
1972826972 Carolyn R. Dodge Counselor 1 Jewell Road, Dixmont, ME 04932-0044 2010-03-04

Office Location

Street Address N27W5707 LINCOLN BLVD
City CEDARBURG
State WI
Zip Code 53012-2852

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033282116 Extendicare Homes, Inc. Skilled Nursing Facility N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2006-11-16
1891318978 Lyndsay Young Physical Therapist N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2020-05-22
1518520212 Margaret Elizabeth French Occupational Therapist N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2019-04-17
1891213625 Nsh Cedarburg LLC Skilled Nursing Facility N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2017-08-31
1285004408 Jason Rudroff Physical Therapist N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2015-09-30
1215329537 Fmg Lincoln Boulevard Wisconsin LLC Skilled Nursing Facility N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2015-02-24
1558767541 Alexis Blenke Occupational Therapy Assistant N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2014-11-18
1326456815 Nicole Rezachek Physical Therapy Assistant N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2014-07-28
1730529363 April Fischer Speech-Language Pathologist N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2013-06-27
1225380645 Lynsi Albright Physical Therapy Assistant N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2012-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639565351 Angela Marie Phillips Counselor 8750 Western Rd, Cedarburg, WI 53012 2015-04-09
1922403641 Nickolas Wimble Hearing Instrument Specialist W62n244 Washinton St, #104, Cedarburg, WI 53012 2014-10-23
1285902429 Mary B Pistiner Pharmacist W62 N190 Washington Ave, Walgreens, Cedarburg, WI 53012 2011-12-02
1285931360 Accuquest Hearing Centers Clinic/Center N54w65 Mill Street, Ste 800, Cedarburg, WI 53012 2011-02-25
1417283532 Laura Egan Cutler Speech-Language Pathologist N87 W6334 Brookdale Dr, Cedarburg, WI 53012 2009-10-23
1790945053 Diane M Kerkman Licensed Practical Nurse W63 N14264 Washington Ave #13, Cedarburg, WI 53012 2008-06-11
1346416856 Robert H Schwengel Dentist W62n179 Washington Ave, Cedarburg, WI 53012 2008-05-05
1174710479 Assisted Living Concepts Inc Assisted Living Facility W56 N225 Mckinley Blvd, Cedarburg, WI 53012 2007-10-01
1699968016 Jay Timothy Brogelman Occupational Therapy Assistant N27 W5707 Lincoln Blvd., Cedar Springs Health and Rehabilitation Center, Cedarburg, WI 53012 2007-08-20
1053517722 Bruce J Stevens Dentist N52 W6295 Mill Street, Cedarburg, WI 53012 2007-06-21
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457993248 Jessica Niemeier Occupational Therapist N29w6275 Lincoln Blvd, Cedarburg, WI 53012-2353 2019-10-13
1750762746 Rachel R Lawrence Occupational Therapist N18w6341 Carriage Trce, Apt 151, Cedarburg, WI 53012-2767 2015-06-15
1861898363 Nicholas Nadolny Occupational Therapist 189 Green Bay Rd, Cedarburg, WI 53012-2901 2014-11-10
1154655918 Margaret Margaret Aschenbrener Occupational Therapist 1971 Granville Rd, Cedarburg, WI 53012-9739 2009-09-28
1225184179 Marlyn K Gassert Occupational Therapist W64n758 Washington Ave, Cedarburg, WI 53012-1360 2007-01-25
1518520212 Margaret Elizabeth French Occupational Therapist N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2019-04-17
1891098844 Katherine Emma Obrien Occupational Therapist N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2010-12-14
1992932909 Debbie K Dlugopolski Occupational Therapist N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2009-06-17
1285823161 Ann V. John Occupational Therapist 4922 Columbia Rd, Cedarburg, WI 53012-9188 2007-10-17
1417165820 Jennifer L Wooten Occupational Therapist N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 2007-05-18
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Competitor

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City CEDARBURG
Zip Code 53012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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